Individual provider Active NPI

Elba Daniel, LPCC

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1689125908
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0209311 Issued in NM
Practice address
304 W Griggs Ave Ste 20
Las Cruces, NM 88005-2603
Phone
(915) 238-6926
NPI assigned
Oct 21, 2016
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH0209311 NM Primary

Addresses

Primary practice location

304 W Griggs Ave Ste 20
Las Cruces, NM 88005-2603

Mailing address

304 W Griggs Ave Ste 20
Las Cruces, NM 88005-2603
Phone (915) 238-6926

Other identifiers 1

IdentifierTypeStateIssuer
64153274MedicaidNM

Other names 1

  • Elba Nieto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627003254 NM Practitioner - Mental Health Counselor 8628512951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCMH0209311NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elba Daniel Counseling, LLC CurrentSince Apr 30, 2024 Accepting new patients

Locations

101 N Alameda Blvd
Ste 20
Las Cruces, NM 88005
Phone (575) 347-8810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1689125908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W GRIGGS AVE STE 20",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052603",
            "telephone_number": "915-238-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W GRIGGS AVE STE 20",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052603",
            "telephone_number": "915-238-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "ELBA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0209311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64153274",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELBA",
            "last_name": "NIETO",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.